Hospital at home: home-based end-of-life care.

<h4>Background</h4> <p>A number of countries have invested in health services to provide care at home to people with a terminal illness who wish to die at home. The preferences of the general public and people with a terminal illness seem to support this, as most people indicate t...

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Main Authors: Shepperd, S, Gonçalves-Bradley, D, Straus, S, Wee, B
Format: Journal article
Language:English
Published: Wiley 2016
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author Shepperd, S
Gonçalves-Bradley, D
Straus, S
Wee, B
author_facet Shepperd, S
Gonçalves-Bradley, D
Straus, S
Wee, B
author_sort Shepperd, S
collection OXFORD
description <h4>Background</h4> <p>A number of countries have invested in health services to provide care at home to people with a terminal illness who wish to die at home. The preferences of the general public and people with a terminal illness seem to support this, as most people indicate that they would prefer to receive end-of-life care at home.</p> <h4>Objectives</h4> <p>We systematically reviewed the literature to see if the provision of end-of-life home-based care reduced the likelihood of dying in hospital and what effect this has on patients’ and caregivers’ satisfaction and health service costs, compared with being admitted to a hospital or hospice. This is the fourth update of the original review.</p> <h4>Study characteristics</h4> <p>We searched the literature until April 2015 and found no new trials for this update. We found four trials for the previous updates.</p> <h4>Main results</h4> <p>We included four trials in our review and report that people receiving end-of-life care at home are more likely to die at home. It is unclear whether home-based end-of-life care increases or decreases the probability of being admitted to hospital. Admission to hospital while receiving home-based end-of-life care varied between trials. People who receive end-of-life care at home may be slightly more satisfied after one month and less satisfied after six months. It is unclear whether home-based end-of-life care reduces or increases caregiver burden. Healthcare costs are uncertain, and no data on costs to participants and their families were reported.</p> <h4>Authors' conclusions</h4> <p>People who receive end-of-life care at home are more likely to die at home. There were few data on the impact of home-based end-oflife services on family members and lay caregivers</p>
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spelling oxford-uuid:f357e0f4-686b-47f9-8e5c-3c867f16cb822022-03-27T12:11:26ZHospital at home: home-based end-of-life care.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f357e0f4-686b-47f9-8e5c-3c867f16cb82EnglishSymplectic Elements at OxfordWiley2016Shepperd, SGonçalves-Bradley, DStraus, SWee, B <h4>Background</h4> <p>A number of countries have invested in health services to provide care at home to people with a terminal illness who wish to die at home. The preferences of the general public and people with a terminal illness seem to support this, as most people indicate that they would prefer to receive end-of-life care at home.</p> <h4>Objectives</h4> <p>We systematically reviewed the literature to see if the provision of end-of-life home-based care reduced the likelihood of dying in hospital and what effect this has on patients’ and caregivers’ satisfaction and health service costs, compared with being admitted to a hospital or hospice. This is the fourth update of the original review.</p> <h4>Study characteristics</h4> <p>We searched the literature until April 2015 and found no new trials for this update. We found four trials for the previous updates.</p> <h4>Main results</h4> <p>We included four trials in our review and report that people receiving end-of-life care at home are more likely to die at home. It is unclear whether home-based end-of-life care increases or decreases the probability of being admitted to hospital. Admission to hospital while receiving home-based end-of-life care varied between trials. People who receive end-of-life care at home may be slightly more satisfied after one month and less satisfied after six months. It is unclear whether home-based end-of-life care reduces or increases caregiver burden. Healthcare costs are uncertain, and no data on costs to participants and their families were reported.</p> <h4>Authors' conclusions</h4> <p>People who receive end-of-life care at home are more likely to die at home. There were few data on the impact of home-based end-oflife services on family members and lay caregivers</p>
spellingShingle Shepperd, S
Gonçalves-Bradley, D
Straus, S
Wee, B
Hospital at home: home-based end-of-life care.
title Hospital at home: home-based end-of-life care.
title_full Hospital at home: home-based end-of-life care.
title_fullStr Hospital at home: home-based end-of-life care.
title_full_unstemmed Hospital at home: home-based end-of-life care.
title_short Hospital at home: home-based end-of-life care.
title_sort hospital at home home based end of life care
work_keys_str_mv AT shepperds hospitalathomehomebasedendoflifecare
AT goncalvesbradleyd hospitalathomehomebasedendoflifecare
AT strauss hospitalathomehomebasedendoflifecare
AT weeb hospitalathomehomebasedendoflifecare